Active NPI
Jon Anthony Yokubaitis, M.D.
- Ophthalmology Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 09387R
- Practice address
- 1767 Imperial Blvd
Lake Charles, LA 70605-5362 - Phone
- (337) 478-3810
- Fax
- (337) 478-6360
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 09387R | LA | Primary |
Addresses
Primary practice location
1767 Imperial Blvd
Lake Charles, LA 70605-5362
Mailing address
1767 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 478-3810
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180046392 | Other | LA | RAILROAD MEDICARE |
| 5508154 | Other | LA | AETNA |
| 1934542 | Medicaid | LA | |
| 720680677015 | Other | LA | CIGNA |
Other names 1
- Dr. Jon Anthony Yokubaitis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Medical Branch at Galveston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1767 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 478-3810
Hospital & facility affiliations
- Lake Charles Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.86 of 100
- Quality
- 91.1
- Improvement activities
- 40
- Cost
- 78.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 99 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09387R | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic a Professional Medical Corp. | Ophthalmology | Current | Accepting new patients |
Locations
210 W 5TH St
Deridder, LA 70634
801 S Pine St
Deridder, LA 70634
Phone (337) 462-0908
1767 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 478-3810
2800 1st Ave
Ste C
Lake Charles, LA 70601
Phone (337) 439-1737
720 Cypress St
Sulphur, LA 70663
Phone (337) 625-8948
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Lake Charles, LA
- NPI 1619915121
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1427030352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1767 IMPERIAL BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055362",
"telephone_number": "337-478-3810",
"fax_number": "337-478-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 IMPERIAL BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055362",
"telephone_number": "337-478-3810",
"fax_number": "337-478-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOKUBAITIS",
"first_name": "JON",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "09387R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180046392",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5508154",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1934542",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "720680677015",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JON",
"last_name": "YOKUBAITIS",
"middle_name": "ANTHONY",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.